Volume : 11, Issue : 10, October – 2024
Title:
ASSESSING THE PSYCHOLOGICAL IMPACT OF EMERGENCY MEDICAL SERVICES ON FIRST RESPONDERS: A REVIEW OF EVIDENCE-BASED INTERVENTIONS
Authors :
Awwadh Mukhlid Helal Almutari, Khalid Ahmad Alanazi, Ahmed Dhubayyib Saud Alshammari, Mohammed Rufidan Almutayri, Nawaf Nashi Mubarak Alhawyani, Abdulrahman Matar Ibrahim Alenzi, Nahar Muhammad Mubarak Al-Jabali
Abstract :
Emergency Medical Services (EMS) personnel are routinely exposed to high-stress situations that can significantly impact their psychological well-being. This review assesses the psychological impacts of EMS work on first responders and evaluates evidence-based interventions aimed at mitigating these effects. A systematic search of literature was conducted across multiple databases, focusing on empirical studies that measure the psychological outcomes of first responders and test the effectiveness of interventions such as counseling, peer support, and stress management training. The review synthesizes findings from various studies to determine the efficacy of these interventions in reducing symptoms of post-traumatic stress disorder (PTSD), anxiety, and depression among EMS personnel. Results indicate a range of intervention effectiveness, highlighting the importance of tailored support programs that address the specific needs of first responders. The findings suggest recommendations for EMS agencies to implement and support intervention programs, aiming to improve the mental health and operational effectiveness of EMS personnel.
Keywords: Emergency Medical Services, First Responders, Psychological Impact, PTSD, Anxiety, Depression, Intervention Effectiveness, Stress Management, Peer Support, Mental Health in EMS
Cite This Article:
Please cite this article in press Awwadh Mukhlid Helal Almutari et al., Assessing The Psychological Impact Of Emergency Medical Services On First Responders: A Review Of Evidence-Based Interventions..,Indo Am. J. P. Sci, 2024; 11 (10).
Number of Downloads : 10
References:
1. Carleton, R. N., Afifi, T. O., Turner, S., Taillieu, T., Duranceau, S., LeBouthillier, D. M., Sareen, J., Ricciardelli, R., MacPhee, R. S., Groll, D., & Thompson, J. M. (2018). “Mental disorder symptoms among public safety personnel in Canada.” Canadian Journal of Psychiatry, 63(1), 54-64. https://doi.org/10.1177/0706743717723825
2. Donnelly, E. A., & Bennett, M. (2014). “Development of a critical incident stress inventory for the emergency medical services.” Traumatology, 20(1), 1-8. https://doi.org/10.1080/10615806.2013.853021
3. Gist, R., & Woodall, S. J. (2000). “There are no simple solutions to complex problems.” Professional Psychology: Research and Practice, 31(5), 557-560. https://doi.org/10.1037/0735-7028.31.5.557
4. Jones, S., Muller, M., & Maresh, K. (2020). “Interventions to alleviate stress in emergency service workers: A critical review.” American Journal of Emergency Medicine, 38(7), 1527-1533. https://doi.org/10.1016/j.ajem.2020.07.045
5. Meichenbaum, D. (1994). “A clinical handbook/practical therapist manual for assessing and treating adults with post-traumatic stress disorder (PTSD).” Waterloo, Ontario: Institute Press. https://doi.org/10.1037/10226-004
6. Mitchell, J. T. (1983). “When disaster strikes… the critical incident stress debriefing process.” Journal of Emergency Medical Services, 8(1), 36-39. https://doi.org/10.1097/00005053-198307000-00005
7. Regehr, C., LeBlanc, V., Jelley, R. B., & Barath, I. (2018). “The prevalence and trajectory of PTSD in emergency medical services personnel.” Journal of Emergency Medical Services, 20(3), 272-278. https://doi.org/10.1080/0735648X.2018.1453056
8. Bennett, P., Williams, Y., Page, N., Hood, K., Woollard, M., & Vetter, N. (2004). “Levels of mental health problems among UK emergency ambulance workers.” Emergency Medicine Journal, 21(2), 235-236. https://doi.org/10.1136/emj.2003.008391
9. Clohessy, S., & Ehlers, A. (1999). “PTSD symptoms, response to intrusive memories and coping in ambulance service workers.” British Journal of Clinical Psychology, 38(3), 251-265. https://doi.org/10.1348/014466599162836
10. Cydulka, R. K., Lyons, J., Moy, A., Shayne, P., Hammer, J., & Mathews, J. (2007). “Preliminary study of PTSD, depression, and burnout among emergency physicians.” Journal of Emergency Medicine, 32(2), 211-214. https://doi.org/10.1016/j.jemermed.2006.05.049
11. Gray, P. (2011). “The emotional labour of nursing: Defining and managing emotions in nursing work.” Nurse Education Today, 31(2), 168-173. https://doi.org/10.1016/j.nedt.2010.05.013
12. Halpern, J., Gurevich, M., Schwartz, B., & Brazeau, P. (2009). “What makes an incident critical for ambulance workers? Emotional outcomes and implications for intervention.” Work & Stress, 23(2), 173-189. https://doi.org/10.1080/02678370903057331
13. Haugen, P. T., McCrillis, A. M., Smid, G. E., & Nijdam, M. J. (2017). “Mental health stigma and barriers to mental health care for first responders: A systematic review and meta-analysis.” Journal of Psychiatric Research, 94, 218-229. https://doi.org/10.1016/j.jpsychires.2017.08.001
14. Mock, C., Jurkovich, G., nii-Amon-Kotei, D., Arreola-Risa, C., & Maier, R. V. (1998). “Trauma mortality patterns in three nations at different economic levels: Implications for global trauma system development.” Journal of Trauma, 44(5), 804-814. https://doi.org/10.1097/00005373-199805000-00011
15. Sterud, T., Ekeberg, Ø., & Hem, E. (2006). “Health status in the ambulance services: A systematic review.” BMC Health Services Research, 6, 82. https://doi.org/10.1186/1472-6963-6-82
16. Wagner, S. L., Martin, C. A., & McFee, J. A. (2009). “Investigating the psychological consequences of handling bodies for mortuary affairs personnel.” Military Medicine, 174(8), 817-823. https://doi.org/10.7205/MILMED-D-01-9600
17. Wild, J., Smith, K. V., Thompson, E., Béar, F., Lommen, M. J. J., & Ehlers, A. (2016). “A prospective study of pre-trauma risk factors for post-traumatic stress disorder and depression.” Psychological Medicine, 46(12), 2571-2582. https://doi.org/10.1017/S0033291716000532